u/CalmSeaworthiness758

Nasal congestion/blockage when laying down only

Hi everyone. I’ve been experiencing this for about three years now. I don’t have any allergies and have been tested several times to confirm. A CT scan came back “normal” and an endoscopy didn’t show any inflammation, no deviated septum, no polyps. The fact that everything appears to be normal isn’t surprising to me since the blockage/congestion only occurs after laying down for an hour or 2. I also experience dryness, which nasal saline helps with the dryness, but not the congestion. Only one nostril is blocked at a time, if I rotate the side I’m laying/sleeping on sometimes that nostril clears up and the other one becomes blocked after a while. I use a humidifier but that doesn’t help.
Has anyone experienced this? If so, have you found the cause and a remedy? Obviously this makes sleeping at unbearable.
Nasal decongestant sprays clears it up right away, but I only use them when things get really really bad, so I try to limit nasal decongestant spray to once every few months.
I do nasal rinses, but the issue still happens. Sometimes I have nasal pressure during the day, and the nasal rinse helps with that, but only when I add budesonide to the mixture, which was prescribed for by my EMT in power form.
Any recommendations or advice is greatly appreciated.

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